Management of Acute Combination Fractures of the Atlas and Axis in Adults

Publication Date: March 1, 2013
Last Updated: March 14, 2022

RECOMMENDATIONS

The treatment of combination atlas-axis fractures based primarily on the specific characteristics of the axis fracture is recommended. (Level III, )
317039

External immobilization of most C1-C2 combination fractures is recommended. (Level III, )
317039

C1-type II odontoid combination fractures with an atlanto-dental ratio of ≥5 mm and C1-Hangman combination fractures with C2- C3 angulation of ≥11 should be considered for surgical stabilization and fusion. (Level III, )
317039

Recommendation Grading

Overview

Title

Management of Acute Combination Fractures of the Atlas and Axis in Adults

Authoring Organization

Publication Month/Year

March 1, 2013

Last Updated Month/Year

March 16, 2023

Document Type

Other

Country of Publication

US

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Diseases/Conditions (MeSH)

D001270 - Cervical Atlas

Keywords

Atlas, Axis, Cervical spine trauma, Fracture, Methodology, Practice guidelines

Source Citation

Neurosurgery 72:151–158, 2013 DOI: 10.1227/NEU.0b013e318276ee55